MRS. KATHERINE MCDERMOTT CUNNINGHAM (NPI# 1669758199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669758199 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE MCDERMOTT CUNNINGHAM |
| Credential | MSN, CPNP |
| Practice Address |
725 Irving Ave Suite 804 Syracuse NY 13210-1603 |
| Practice Telephone | 3152147700 |
| Practice Fax Number | 3152147701 |
| Mailing Telephone | 3152147700 |
| Mailing Fax Number | 3152147701 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2016-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382207 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03389035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329850 | Katherine Cunningham | Behavior Technician | 1200 Concord Ave Ste 100, Concord, CA 94520-4969 | 2020-02-28 |
| 1043841166 | Katherine Cunningham | Counselor | 241 S Frontage Rd Ste 36, Burr Ridge, IL 60527-6169 | 2020-01-28 |
| 1083183545 | Katherine Cunningham | Social Worker | 48 Private Drive 339, South Point, OH 45680-8919 | 2018-11-14 |
| 1578046025 | Katherine D Cunningham | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2018-09-11 |
| 1285111674 | Katherine C Cunningham | Psychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2018-07-27 |
| 1780024331 | Katherine Dee Cunningham | Counselor | 450 Syndicate St N, Saint Paul, MN 55104-4107 | 2013-06-27 |
| 1326371378 | Katherine Anne Macilvain Cunningham | Social Worker | 380 Massachusetts Ave, Acton, MA 01720-3743 | 2009-09-09 |
| 1043422397 | Katherine Anne Cunningham | Psychoanalyst | 589 Franklin Tpke, Ridgewood, NJ 07450-1989 | 2007-05-07 |
| 1619923315 | Katherine Louise Cunningham | Physician Assistant | 2266 N Lincoln Ave, 3rd Floor, Chicago, IL 60614-3718 | 2006-05-25 |
| Street Address |
725 IRVING AVE SUITE 804 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321826 | Glenda J Hungerford | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Suite 402, Syracuse, NY 13210 | 2005-07-26 |
| 1659937456 | Stephanie Locicero | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2019-05-16 |
| 1023526522 | John Stepan Pototsky | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Syracuse, NY 13210-1603 | 2018-01-18 |
| 1891205043 | Quentin Lawrence Archer | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2017-10-02 |
| 1316390834 | Julie Albanese | Nurse Practitioner | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2016-07-20 |
| 1679928311 | Jo-anne Furcinito | Nurse Practitioner | 725 Irving Ave, Syracuse, NY 13210-1603 | 2016-05-02 |
| 1811384639 | Jacqlene Nicholle Tillmes | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-04-20 |
| 1760874150 | Stacey L Messe | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-02-23 |
| 1376946715 | Cheryl Palmer | Counselor | 725 Irving Ave, Suite 302, Syracuse, NY 13210-1603 | 2014-09-30 |
| 1396163465 | Caroline Burns Stroup | Obstetrics & Gynecology | 725 Irving Ave, Suite 600, Syracuse, NY 13210 | 2014-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1023633427 | Katherine Ellen Smith | Nurse Practitioner | 736 Irving Ave # 9100, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1053575829 | Tashika Gomez | Nurse Practitioner | 428 S Alvord St, Syracuse, NY 13208-2720 | 2008-07-10 |
| 1114180015 | Tracey Jo Rheaume | Nurse Practitioner | 725 Irving Avenue Suite 112, Center for Neurodevelopmemtl Pediatrics Crouse Pob, Syracuse, NY 13210-1624 | 2008-07-10 |
| 1538264312 | Nancy P Mitchell | Nurse Practitioner | 90 Presidential Plz Fl 3, University Pediatric and Adolescent Center, Syracuse, NY 13202-2240 | 2006-09-14 |
| 1821616962 | Brittney Johnson | Nurse Practitioner | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2020-07-06 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1841858370 | Heather Pitts | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3570 | 2019-05-30 |
| 1922572379 | Kristen Marie Maas | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-01-18 |
| 1225518707 | Erica Kendrew | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202 | 2018-08-15 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on MRS. KATHERINE MCDERMOTT CUNNINGHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.